新医学
新醫學
신의학
NEW CHINESE MEDICINE
2015年
8期
543-545
,共3页
运动疗法%物理疗法%骨质疏松性骨折%椎体压缩性骨折
運動療法%物理療法%骨質疏鬆性骨摺%椎體壓縮性骨摺
운동요법%물리요법%골질소송성골절%추체압축성골절
Exercise therapy%Physical therapy%Osteoporotic fractures%Vertebral compression fractures
目的：探讨运动疗法配合物理疗法治疗骨质疏松性椎体压缩性骨折（OVCF）的临床疗效。方法选择95例 OVCF 患者，随机分为观察组（48例）和对照组（47例），对照组采用保守治疗，观察组采用运动疗法联合超短波疗法、低频脉冲电疗法及蜡疗，于治疗前及治疗6、12个月后，分别采用日本骨科协会（JOA）评分、Oswestry 功能障碍指数问卷表（ODI）评分评估2组患者的腰部疼痛和腰椎功能改善情况，并比较2组的总体疗效。结果治疗前2组 JOA、ODI 评分比较差异无统计学意义（P 均＞0.05）。治疗后6、12个月，观察组患者与对照组相比，JOA 评分较高、ODI评分较低（P 均＜0.01），且观察组总体疗效明显优于对照组（P ＜0.01）。结论通过运动疗法联合物理疗法，能有效缓解 OVCF 患者腰部疼痛，改善腰椎功能，促进患者及早康复。
目的：探討運動療法配閤物理療法治療骨質疏鬆性椎體壓縮性骨摺（OVCF）的臨床療效。方法選擇95例 OVCF 患者，隨機分為觀察組（48例）和對照組（47例），對照組採用保守治療，觀察組採用運動療法聯閤超短波療法、低頻脈遲電療法及蠟療，于治療前及治療6、12箇月後，分彆採用日本骨科協會（JOA）評分、Oswestry 功能障礙指數問捲錶（ODI）評分評估2組患者的腰部疼痛和腰椎功能改善情況，併比較2組的總體療效。結果治療前2組 JOA、ODI 評分比較差異無統計學意義（P 均＞0.05）。治療後6、12箇月，觀察組患者與對照組相比，JOA 評分較高、ODI評分較低（P 均＜0.01），且觀察組總體療效明顯優于對照組（P ＜0.01）。結論通過運動療法聯閤物理療法，能有效緩解 OVCF 患者腰部疼痛，改善腰椎功能，促進患者及早康複。
목적：탐토운동요법배합물리요법치료골질소송성추체압축성골절（OVCF）적림상료효。방법선택95례 OVCF 환자，수궤분위관찰조（48례）화대조조（47례），대조조채용보수치료，관찰조채용운동요법연합초단파요법、저빈맥충전요법급사료，우치료전급치료6、12개월후，분별채용일본골과협회（JOA）평분、Oswestry 공능장애지수문권표（ODI）평분평고2조환자적요부동통화요추공능개선정황，병비교2조적총체료효。결과치료전2조 JOA、ODI 평분비교차이무통계학의의（P 균＞0.05）。치료후6、12개월，관찰조환자여대조조상비，JOA 평분교고、ODI평분교저（P 균＜0.01），차관찰조총체료효명현우우대조조（P ＜0.01）。결론통과운동요법연합물리요법，능유효완해 OVCF 환자요부동통，개선요추공능，촉진환자급조강복。
Objective To investigate the clinical efficacy of exercise therapy combined with physical therapy in the treatment of osteoporotic vertebral compression fractures.Methods A total of 95 patients with osteoporotic vertebral compression fractures were collected and randomly divided into two groups:the observa-tion group (48 cases)and the control group (47 cases).The patients in the control group were given conserva-tive treatment,while the patients in the observation group received exercise therapy combined with ultrashort wave,low-frequency pulse,and wax therapy.The back pain and lumbar function of the two groups of patients before treatment and at six and 1 2 months after the treatment were evaluated using the Japanese Orthopedic As-sociation (JOA)score and the score of the Oswestry Disability Index (ODI)questionnaire,respectively,and the overall efficacy was compared between the two groups.Results JOA and ODI scores before treatment be-tween the two groups showed no statistically differences (both P >0.05).At six and 1 2 months after treat-ment,compared to the control group,a higher JOA score and a lower ODI score were found in the observation group (both P <0.01 ).In addition,the rate of excellent overall efficacy of the patients in the observation group was significantly higher than that in the control group (P <0.05).Conclusion For patients with osteo-porotic vertebral compression fractures,exercise therapy combined with physical therapy could effectively re-lieve back pain and improve lumbar function,thereby promoting early rehabilitation of these patients.
